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NURSING INFORMATICS EXAM – ELECTRONIC
HEALTH RECORDS & DATA SECURITY 2026-27
LATEST VERSION
Focus: EHR, Data Security, Clinical Decision Support, Legal &
Ethical Considerations
Level: Undergraduate/Postgraduate Nursing
Total Questions: 100
Format: Complex multiple-choice, scenario-based, priority
questions
QUESTIONS 1–20: FUNDAMENTALS OF NURSING
INFORMATICS
1. Nursing informatics primarily integrates:
A. Nursing science, computer science, information science
B. Nursing science and pharmacology only
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C. Medical coding and insurance
D. Patient advocacy and ethics
Answer: A
Rationale: Nursing informatics combines nursing, computer,
and information sciences to improve patient care.
2. The main purpose of an Electronic Health Record (EHR) is to:
A. Store patient billing information
B. Facilitate comprehensive, real-time patient care
documentation
C. Replace nurses’ critical thinking
D. Limit patient access to records
Answer: B
Rationale: EHRs centralize clinical data to improve safety,
quality, and coordination of care.
3. Which standard ensures interoperability between EHR
systems?
A. HIPAA
B. HL7 (Health Level Seven)
C. OSHA
D. FDA regulations
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Answer: B
Rationale: HL7 sets standards for exchanging and integrating
electronic health data.
4. The primary goal of clinical decision support systems (CDSS)
is to:
A. Replace clinical judgment
B. Provide evidence-based recommendations to enhance
decision-making
C. Reduce nursing responsibilities
D. Automate documentation only
Answer: B
Rationale: CDSS supports clinicians with alerts, reminders, and
guidelines.
5. Which action demonstrates data integrity in EHR?
A. Entering accurate, complete, and timely patient data
B. Entering approximate values to save time
C. Copying prior notes without verification
D. Deleting old lab results
Answer: A
Rationale: Integrity ensures reliable, accurate patient data for
safe care.
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6. The “meaningful use” criteria in EHR implementation focus
on:
A. Billing optimization
B. Improving patient care quality and safety
C. Reducing staff workload only
D. Vendor profitability
Answer: B
Rationale: Meaningful use ensures EHR adoption improves
outcomes and safety.
7. Which nursing task BEST illustrates EHR utilization?
A. Medication administration documentation
B. Manual shift handover
C. Paper chart storage
D. Verbal patient report only
Answer: A
Rationale: Documenting medications electronically ensures
accuracy and traceability.
8. A nurse receives a clinical alert about a patient’s allergy.
This is an example of:
NURSING INFORMATICS EXAM – ELECTRONIC
HEALTH RECORDS & DATA SECURITY 2026-27
LATEST VERSION
Focus: EHR, Data Security, Clinical Decision Support, Legal &
Ethical Considerations
Level: Undergraduate/Postgraduate Nursing
Total Questions: 100
Format: Complex multiple-choice, scenario-based, priority
questions
QUESTIONS 1–20: FUNDAMENTALS OF NURSING
INFORMATICS
1. Nursing informatics primarily integrates:
A. Nursing science, computer science, information science
B. Nursing science and pharmacology only
,2
C. Medical coding and insurance
D. Patient advocacy and ethics
Answer: A
Rationale: Nursing informatics combines nursing, computer,
and information sciences to improve patient care.
2. The main purpose of an Electronic Health Record (EHR) is to:
A. Store patient billing information
B. Facilitate comprehensive, real-time patient care
documentation
C. Replace nurses’ critical thinking
D. Limit patient access to records
Answer: B
Rationale: EHRs centralize clinical data to improve safety,
quality, and coordination of care.
3. Which standard ensures interoperability between EHR
systems?
A. HIPAA
B. HL7 (Health Level Seven)
C. OSHA
D. FDA regulations
,3
Answer: B
Rationale: HL7 sets standards for exchanging and integrating
electronic health data.
4. The primary goal of clinical decision support systems (CDSS)
is to:
A. Replace clinical judgment
B. Provide evidence-based recommendations to enhance
decision-making
C. Reduce nursing responsibilities
D. Automate documentation only
Answer: B
Rationale: CDSS supports clinicians with alerts, reminders, and
guidelines.
5. Which action demonstrates data integrity in EHR?
A. Entering accurate, complete, and timely patient data
B. Entering approximate values to save time
C. Copying prior notes without verification
D. Deleting old lab results
Answer: A
Rationale: Integrity ensures reliable, accurate patient data for
safe care.
, 4
6. The “meaningful use” criteria in EHR implementation focus
on:
A. Billing optimization
B. Improving patient care quality and safety
C. Reducing staff workload only
D. Vendor profitability
Answer: B
Rationale: Meaningful use ensures EHR adoption improves
outcomes and safety.
7. Which nursing task BEST illustrates EHR utilization?
A. Medication administration documentation
B. Manual shift handover
C. Paper chart storage
D. Verbal patient report only
Answer: A
Rationale: Documenting medications electronically ensures
accuracy and traceability.
8. A nurse receives a clinical alert about a patient’s allergy.
This is an example of:
